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1508681859
EBONY GUPTILL
PORTLAND, OR
NPI
1508681859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-21
Last Update Date
2024-11-21
Business Address
EBONY GUPTILL
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 503-747-0404
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Mailing Address
EBONY GUPTILL
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 503-747-0404
Copy
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